| NPI | 1902160658 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WM0705X Registered Nurse, Medical-Surgical (Licence: NY 628118) |
| Additional Taxonomies | 163WC0400X Registered Nurse, Case Management (Licence: NY 628118) |
| Enumeration Date | 2012-06-27 |
| Last Update Date | 2012-06-27 |